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Editorial

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You know what we need?
Ushma S. Neill
Ushma S. Neill
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You know what we need?

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Abstract

I’ve listened to many of you moan about the current flat NIH budgets, lack of funding, and the frustration of being a scientist in the current depressed economy. Instead of complaining to only ourselves in the scientific community, we need to make ourselves heard by politicians and the public at large. We need a pundit.

Authors

Ushma S. Neill

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What is the evidence for our standards of care?
Laurence A. Turka, Arthur Caplan
Laurence A. Turka, Arthur Caplan
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What is the evidence for our standards of care?

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Abstract

The term evidence-based medicine is overused, abused, and is beginning to ring hollow. It is not that evidence (or at least of what most people in biomedicine think evidence-based medicine should strive to be) is a bad thing. Rather, there is more rhetoric about evidence than there is actual evidence to support the degree of talk.

Authors

Laurence A. Turka, Arthur Caplan

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Enhancing discovery and saving money with MERIT
Jonathan A. Epstein
Jonathan A. Epstein
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Enhancing discovery and saving money with MERIT

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Abstract

The National Institutes of Health and many of our biomedical institutions face significant budgetary challenges that are likely to persist for the foreseeable future. The paylines for Research Project Grant (RO1) applications to the NIH will be near or below the tenth percentile, and many investigators are growing increasingly concerned about maintaining their research programs. One of the most concerning potential results of limited grant dollars is the natural tendency for researchers to propose conservative projects that are more likely to succeed, to do well in peer review, and to be funded, but that may not dramatically advance the field, and a concurrent tendency among study sections to reward proposals that are seen as safe, if uninspiring. Established and well-respected investigators may be (perhaps appropriately) given the benefit of the doubt when compared with less-established colleagues and may therefore command a growing percentage of the total available grant dollars, while simultaneously avoiding bold and potentially groundbreaking approaches. At the same time, fewer dollars are available for new investigators with unproven track records and for the expansion of newly successful programs.

Authors

Jonathan A. Epstein

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Don’t ask, don’t tell . . . and don’t donate
Ushma S. Neill
Ushma S. Neill
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Don’t ask, don’t tell . . . and don’t donate

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Abstract

Did you know that gay men can’t donate blood, nor can they donate sperm anonymously to sperm banks? I applaud the 18 senators who have banded together to urge FDA Commissioner Margaret Hamburg to revisit this issue, as current scientific data on infectious diseases does not lend credence to these policies.

Authors

Ushma S. Neill

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The right to health care
Laurence A. Turka, Arthur L. Caplan
Laurence A. Turka, Arthur L. Caplan
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The right to health care

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Abstract

While our eyes usually glaze over at the continued talk of health care reform, there are a few particulars that bear repeating. So many of the parties involved fail to consider the most basic and most important of all the issues: health insurance is not a luxury, it is a right.

Authors

Laurence A. Turka, Arthur L. Caplan

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Let’s keep this brief
Ushma S. Neill
Ushma S. Neill
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Let’s keep this brief

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Abstract

The regular articles and technical advances published in this issue are an average of 9,050 words, with 8.4 display items (figures and tables). Do we always need so many words to convey a message? We think not. With this editorial, we issue a call for brief reports.

Authors

Ushma S. Neill

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The physician's voice in the health care debate
Jonathan A. Epstein, Laurence A. Turka, Morris Birnbaum, Gary Koretzky
Jonathan A. Epstein, Laurence A. Turka, Morris Birnbaum, Gary Koretzky
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The physician's voice in the health care debate

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Abstract

Physicians in the United States have a unique appreciation of the tremendous successes and even greater potential of our health care system, yet we also endure firsthand its woeful deficiencies. In the ongoing debate about how to improve the current health care structure in the United States, our individual voices have been all too quiet. No single health care organization, nor its spokesmen, speaks for the broad range of physicians’ opinions. Rather, doctors must make every effort, and indeed have an obligation, to speak forcefully as informed participants in this important process.

Authors

Jonathan A. Epstein, Laurence A. Turka, Morris Birnbaum, Gary Koretzky

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Top priority
Laurence A. Turka
Laurence A. Turka
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Top priority

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Abstract

When has an author been scooped? It sounds like a simple question, but in fact, as a recent editorial meeting unfolded, this issue became far more complex than I had thought.

Authors

Laurence A. Turka

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Reinvestment and recovery
Jonathan A. Epstein
Jonathan A. Epstein
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Reinvestment and recovery

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Abstract

When US President Barack Obama declared in his 2009 inaugural address, “We will restore science to its rightful place,” many applauded. The US has led the world in research, innovation, and education in the medical sciences. The National Science Foundation, the NIH, and other government organizations involved in scientific investigations are the primary engines that have fueled this excellence over the past half century. Nevertheless, we cannot afford to assume that preeminence, or even excellence, will persist without attention and cultivation.

Authors

Jonathan A. Epstein

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After further review
Laurence A. Turka
Laurence A. Turka
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After further review

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Abstract

In the two years that I have been Editor in Chief of the JCI, the editors and I have sent approximately 2,500 papers for external review. The referee reports that we’ve received have spanned the spectrum from incredibly insightful to completely unhelpful. Together with a longer piece immediately following this editorial, I would like to reflect on what I think makes a good review.

Authors

Laurence A. Turka

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